User : Hi
Doctor : Hi
Doctor : How can I help you?
User : Need advice on my food habit
Doctor : I shall help you within my expertise.
User : have high consipation problem
User : and bad breath
Doctor : May I know your age and gender?
User : 38 male
Doctor : Since when are you having these symptoms?
User : 6 months
User : but increase recently
Doctor : Ok
User : my tea intake is 4-5 from 7-8 cups
Doctor : Do you have pain while passing stool/
Doctor : Do you pass blood in the stool?
User : no pain no blood
User : but have to go too often
Doctor : Ok
User : last week have to go after i eat anything
Doctor : Do you have abdominal pain?
User : no
Doctor : Do you have any other medical illness?
User : no except back problem
Doctor : Do you have any dental problems?
User : yes
User : tooth filling done
Doctor : Ok
Doctor : Have you seen a doctor in the past?
User : yes
Doctor : May I know if you any treatment was suggested?
User : no just avoid oily food and iiregular food habit
Doctor : Ok
User : and reduce tea
Doctor : Let me brief you.
Doctor : Based on the history that you have provided,
your symptoms may be due to a single problem or due to two different problems.
Doctor : Let me explain that.
Doctor : Bad breadth may occur due to dental or oral problems as well as due to gut problems.
Doctor : Hence the symptoms of bad breadth may be due to the dental problems that you have
Doctor : alternatively, it could be due to gastritis or symptoms of indigestion.
Doctor : Your other symptoms are probably due to a condition known as irritable bowel syndrome.
Doctor : If you have followed with this, I shall proceed further with treating measures.
User : For dental and oral i have confirm it is not due to this
User : please proceed with the treatment
Doctor : Since I cannot perform a physical examination, my opinions are based on the details that you have provided alone.
User : ok
Doctor : If the dental issues are not the cause for the bad breadth, then probably the IBS may be the cause.
Doctor : Irritable bowel condition (IBS) is a condition and not a medical disease.
User : so how can it be treated
Doctor : It occurs due abnormal motility of the gut causing symptoms of indigestion, gastritis, constipation, feeling of the urge to pass stools and so on.
Doctor : The cause for this is unknown.
Doctor : The treatment for this lies mainly in lifestyle changes and to a less extent by the use of medical drugs.
Doctor : Hence you need changes in lifestyle. I shall mention a life style modifications that you would need.
User : lifestyle change ??
Doctor : 1. Regular diet.
Doctor : 2. Avoiding hot and spicy food, oily food, using whole grains, pulses such as dal, legumes and so on.
Doctor : 3. Restricting caffeine consumptions - both coffee and tea consumptions.
Doctor : 4. Regular sleeping habits.
Doctor : 5. Avoiding stress and anxieties.
Doctor : 6. Physical exercises , yoga and meditations.
Doctor : These few changes are essential, as dietary and psychological conditions play an important role in precipitating and aggravating the condition.
Doctor : Apart from this.
Doctor : You may use medical drugs such as
Doctor : 1. Antacids syrups - one or two teaspoon before meals twice a day.
Doctor : 2. Laxatives such as XXXXXXXX products - two teaspoon at night.
Doctor : Along with these you would also need to include dietary fibres in your diet very frequently .
Doctor : Dietary fibres in the form of vegetables and fruits.
Doctor : Have you followed what I have suggested?
User : yes
User : how much hrs of sleep is required
User : and how many cups of tea
Doctor : Apart from this also include twice daily brushing and flossing techniques to help bad breadth.
Doctor : Sleep -
Doctor : More than the hours of sleep, it would be regular, undisturbed sleep.
Doctor : You will need atleast 8 hours of sleep a day for maintaining normal health.
Doctor : And restrict tea consumptions as much as possible, at most to 1 to 2 cups of tea a day.
Doctor : Have you followed?
Doctor : Are you there?
Doctor : Are you there?
User : yes
Doctor : Finally, IBS is a condition where the exact condition for this is unknown.
Doctor : Its affected by the dietary and lifestyle of a person.
Doctor : Hence with those lifestyle and dietary modifications, also restrict alcohol and smoking if any.
User : no alcohol and smoking
Doctor : This condition will slowly improve with following these changes as strictly as possible.
Doctor : If your symptoms of bad breadth are persisting, I also suggest you to consult a gastroenterologist for physical examination and endoscopy.
Doctor : Have you followed?
Doctor : Do you have any other query?
User : k
Doctor : Do you have any other query?
User : no thks will follow the diet
Doctor : Thanks for consulting me.
Doctor : Bye for now.
User : but need to know much time it will take before i decide to visit gastroenterologist
Doctor : This varies among different individuals.
Doctor : If your symptoms are aggravating, or if you develop new symptoms such as abdominal pain, passing blood in the stool, then you will need to consider consulting your doctor.
Doctor : Have you followed?
Doctor : Are you there?
Doctor : Are you there?
User : yes
Doctor : Do you have any other query?
User : no thank you for the advice
Doctor : Thanks for consulting me.
Doctor : Bye for now.
User : Bye